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Clin Gastroenterol Hepatol. 2015 Dec;13(13):2209-18. doi: 10.1016/j.cgh.2015.09.017. Epub 2015 Oct 14.

White Paper AGA: Advanced Imaging in Barrett's Esophagus.

Author information

1
University of Kansas School of Medicine, Kansas City, Missouri. Electronic address: psharma@kumc.edu.
2
Predictive Health, LLC, Paradise Valley, Arizona.
3
Johns Hopkins University, Baltimore, Maryland.
4
Baylor University Medical Center, Dallas, Texas.
5
Oregon Health and Science University, Portland, Oregon.
6
Loyola University Health System, Chicago, Illinois.
7
Yale School of Medicine, New Haven, Connecticut.
8
New York-Presbyterian Hospital/Columbia University Medical Center, New York, New York.
9
Johns Hopkins Medical Laboratories, Baltimore, Maryland.
10
Brigham and Women's Hospital, Boston, Massachusetts.
11
Temple/Fox Chase Cancer Center, Philadelphia, Pennsylvania.
12
University of Pennsylvania Health System, Philadelphia, Pennsylvania.

Abstract

Enhanced imaging technologies such as narrow band imaging, flexible spectral imaging color enhancement, i-Scan, confocal laser endomicroscopy, and optical coherence tomography are readily available for use by endoscopists in routine clinical practice. In November 2014, the American Gastroenterological Association's Center for GI Innovation and Technology conducted a 2-day workshop to discuss endoscopic image enhancement technologies, focusing on their role in 2 specific clinical conditions (colon polyps and Barrett's esophagus) and on issues relating to training and implementation of these technologies (white papers). Although the majority of the studies that use enhanced imaging technologies have been positive, these techniques ideally need to be validated in larger cohorts and in community centers. As it stands today, detailed endoscopic examination with high-definition white-light endoscopy and random 4-quadrant biopsy remains the standard of care. However, the workshop panelists agreed that in the hands of endoscopists who have met the preservation and incorporation of valuable endoscopic innovation thresholds (diagnostic accuracy) with enhanced imaging techniques (specific technologies), use of the technique in Barrett's esophagus patients is appropriate.

KEYWORDS:

Barrett’s Esophagus; Confocal Laser Endomicroscopy; Endoscopic Image Enhancement; Flexible Spectral Imaging Color Enhancement; Narrow-Band Imaging; i-Scan

PMID:
26462567
DOI:
10.1016/j.cgh.2015.09.017
[Indexed for MEDLINE]

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